Individual provider Active NPI

Alexander James Decubellis

  • Ophthalmology Physician
  • Destin, FL
National Provider Identifier
1184204992
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME172216 Issued in FL
Practice address
151 Regions Way BLDG 1
Destin, FL 32541-5106
Phone
(850) 650-6550
NPI assigned
Apr 14, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X ME172216 FL Primary

Addresses

Primary practice location

151 Regions Way BLDG 1
Destin, FL 32541-5106

Mailing address

2800 Ross Clark Cir
Dothan, AL 36301-2040
Phone (334) 793-2211

Other practice location 1

2401 State Ave
Panama City, FL 32405-3940
Phone (850) 747-1818

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250710002743 FL Practitioner - Ophthalmology 3870007792 Reassigns benefits to 1 organization
I20250721002008 AL Practitioner - Ophthalmology 3870007792 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Partners PCGroup PAC ID 8123016334, 31 clinicians

Practice addresses (Care Compare)

151 Regions Way
Suite 1
Destin, FL 32541-5106
Phone (850) 650-6550

2800 Ross Clark Cir
Dothan, AL 36301-2040
Phone (334) 793-2211

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery234

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME172216FLMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Partners PC CurrentSince Aug 1, 2025 Accepting new patients
Eye Partners PC Ophthalmology CurrentSince Aug 1, 2025 Accepting new patients

Locations

2800 Ross Clark Cir
Dothan, AL 36301
Phone (334) 793-3411

151 Regions Way
Bldg 1
Destin, FL 32541
Phone (850) 650-6550

151 Regions Way
#1
Destin, FL 32541
Phone (850) 650-6550

151 Regions Way
Destin, FL 32541

4340 Lafayette St
Marianna, FL 32446
Phone (850) 482-2336

2401 State Ave
Panama City, FL 32405
Phone (850) 747-1818

2500 W 23rd St
Panama City, FL 32405
Phone (850) 784-3921

Interoperability endpoints

  • Direct secure messaging: alexander.decubellis.p1@direct.ecs.nextgenshare.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1618358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1184204992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 ROSS CLARK CIR",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363012040",
            "telephone_number": "334-793-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 REGIONS WAY BLDG 1",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325415106",
            "telephone_number": "850-650-6550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2401 State Ave",
            "address_purpose": "LOCATION",
            "city": "Panama City",
            "state": "FL",
            "postal_code": "324053940",
            "country_code": "US",
            "telephone_number": "850-747-1818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DECUBELLIS",
        "first_name": "ALEXANDER",
        "middle_name": "JAMES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-14",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME172216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Destin, FL

Sources for this page

Verify at the official NPI Registry.